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About
CDC's Injury Center
The U.S. Centers for Disease Control and Prevention (CDC) began
studying home and recreational injuries in the early 1970s and violence prevention in 1983. From these early activities grew a national program to reduce injury, disability, death, and costs associated with injuries outside the workplace. In June 1992, CDC established the National Center for Injury Prevention and Control (NCIPC). As the lead federal agency for injury prevention, NCIPC works closely
with other federal agencies; national, state, and local organizations; state and local health departments; and research institutions.
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Injury in the United States
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Injury
is the leading cause of death and disability among children and young
adults (CDC 2001).
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In
2000, more than 148,000 people died from injuries. Among them (Miniño
et al. 2002):
- 43,354 died
from motor-vehicle crashes;
- 29,350 died
from suicide;
- 16,765 died
from homicide;
- 13,322 died
from unintentional falls;
- 12,757 from
unintentional poisonings;
- 3,482 died
from unintentional drowning;
- 3,377 died
from fires.
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Motor
vehicle crashes are the leading cause of injury death (CDC 2001).
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Homicide
is the second leading cause of death for people ages 15 to 24 overall
and the leading cause of death for African American males ages 15 to
34 (CDC 2001).
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In
2000, more than 29.5 million people were treated for injuries in U.S.
emergency departments (CDC 2001).
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Injuries
accounted for 37% of emergency department visits in 1999–2000
(Pastor et al. 2002).
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The
rate of hospitalizations for injury per 10,000 population is
significantly higher among elderly persons than among all other age
groups (Hall and Ownings 2000).
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Each
year, an estimated 1.5 million Americans survive a traumatic brain
injury (TBI) (Sosin, Sniezek and Thurman 1996); 50,000 die from TBIs;
and 80,000 to 90,000 experience onset of long-term disability (CDC
1999). An estimated 5.3 million Americans live with a permanent
TBI-related disability (CDC 1999).
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In
1988, the costs of injury were estimated at $182 billion. Inflated to
1995 dollars, costs approach $260 billion (Institute of Medicine
1999).
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Treatment
of injuries and their long-term effects account for 12% of medical
care spending, totaling $69 billion (in 1993 dollars) (Institute of
Medicine 1999).
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Federal,
state, and local government funds cover 28% of medical expenditures
for injury. Private sources cover the remaining 72% (Rice, MacKenzie
1989).
- In 1985, the federal government paid $8.9 billion
for medical care of injured persons, mainly through Medicare and
Medicaid. It also paid $14.2 billion in disability and survivor
benefits through Social Security Disability Insurance, Supplemental
Security Income, and the Veterans Administration (Rice, MacKenzie
1989).
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Prevention: The Public Health Approach
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Injury
is a serious public health problem because of its impact on the health
of Americans, including premature death, disability, and the burden on
our health care system.
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Like
diseases, injuries are preventable—they do not occur at random.
CDC’s Injury Center uses the same scientific methods to prevent
injuries that have been used to prevent disease: carefully describing
the problem through surveillance, studying factors that increase or
decrease risk for injury, designing and evaluating intervention
strategies that target these risk factors, and taking steps to ensure
that proven strategies are implemented in communities nationwide.
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The
public health community has the experience as well as the public and
private partners necessary to research, develop, and communicate
effective methods to prevent injury.
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Injury
prevention strategies focus primarily on environmental design (e.g.,
road construction that permits optimum visibility), product design,
human behavior, education, and legislative and regulatory requirements
that support environmental and behavioral change.
- Public health efforts to prevent injuries have
been highly successful. For example, 240,000 lives were saved between
1966 and 1990 because of improved motor vehicle and highway design,
increased use of safety belts and motorcycle helmets, and enforcement
of laws regarding drinking and driving and speeding. Similar results
are possible with other types of injuries.
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Research
CDC
conducts and supports research about causes, risk factors, and preventive
measures for injuries outside the workplace, including:
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Unintentional
injuries related to falls, fires, drowning, poisoning, motor vehicle
crashes (including those involving pedestrians), sports and
recreational activities, and playgrounds and day-care settings;
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Intentional
injuries related to homicide, suicide, youth violence, intimate
partner violence, child maltreatment, and sexual violence;
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Improving
health and quality of life after injuries and preventing secondary
conditions among people with disabilities.
CDC also funds research by universities and other
public and private groups studying the three phases of injury control
(prevention, acute care, and rehabilitation) and the two major disciplines
of injury control (epidemiology and biomechanics).
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Resource Materials
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References
CDC.
Web-based Injury Statistics Query and Reporting System (WISQARS)
[Online]. (2001). National Center for Injury Prevention and Control,
Centers for Disease Control and Prevention (producer). Available from:
URL: www.cdc.gov/ncipc/wisqars. [26 Sep 2002].
CDC.
Traumatic Brain Injury in the United States: A Report to Congress.
Atlanta (GA): Centers for Disease Control and Prevention, National Center
for Injury Prevention and Control; 1999.
Hall
MJ, Owings MF. Hospitalizations for injury: United States, 1996.
Advance data from vital and health statistics; no 318.
Hyattsville, Maryland: National Center for Health Statistics; 2000.
Institute
of Medicine; Bonnie RJ, Fulco CE, Liverman CT (editors). Reducing the
Burden of Injury: Advancing Prevention and Treatment. Washington (DC):
National Academy Press; 1999.
Pastor
PN, Makuc DM, Reuben C, Xia H. Chartbook on Trends in the Health of
Americans. Health, United States, 2002. Hyattsville (MD): National
Center for Health Statistics. 2002.
Rice
DP, MacKenzie EJ, and Associates. Cost of Injury in the United States:
A Report to Congress. San Francisco (CA): Institute for Health &
Aging, University of California, and Injury Prevention Center, The Johns
Hopkins University; 1989.
Sosin
DM, Sniezek JE, Thurman DJ. Incidence of mild and moderate brain injury in
the United States, 1991. Brain Injury 1996;10:47–54.
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